Varcarolis TEST BANK Chapter 4
In-client hospitalization for persons with mental illness is generally reserved for clients who
demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ✔✔ correct answer a. present a clear
danger to self or others.
A client was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning
discharge, the case manager learned that the client received a notice of eviction immediately prior to
admission. What is the case manager's most appropriate action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss th situation.
c. Arrange a temporary place for the client to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was genuine because the client had nowhere
to live. - ✔✔ correct answer c. Arrange a temporary place for the client to stay until new housing can
be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ✔✔ correct answer a. Helping
a person diagnosed with a serious mental illness learn to manage money
A client diagnosed with schizophrenia had an exacerbation related to medication nonadherence and
was hospitalized for 5 days. The client's thoughts are now more organized, and discharge is planned.
The client's family says, "It's too soon for discharge. We will just go through all this again." What
action should the nurse take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the unit.
c. explain that the client will continue to improve if the medication is taken regularly.
d. contact the health care provider to meet with the family and explain the discharge
rationale. - ✔✔ correct answer c. explain that the client will continue to improve if the medication is
taken regularly.
, Varcarolis TEST BANK Chapter 4
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is
smoking, and the janitor's closet is locked. What do these observations relate to?
a. coordinating care of clients.
b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies. - ✔✔ correct answer b. management of milieu safety.
The psychiatric unit has one bed available. Which client should be admitted from the emergency
department? The client
a. The client feeling anxiety and a sad mood after separation from a spouse of 10 years.
b. The client who self-inflicted a superficial cut on the forearm after a family argument.
c. The client experiencing dry mouth and tremor related to taking antipsychotic medication.
d. The client who is a new parent and hears voices saying, "Smother your baby." - ✔✔ correct
answer d. The client who is a new parent and hears voices saying, "Smother your baby."
A suspicious, socially isolated client lives alone, eats one meal a day at a local shelter, and spends the
remaining daily food allowance on cigarettes. What is the community psychiatric nurse's best initial
action?
a. Exploring ways to help the client stop smoking.
b. Reporting the situation to the manager of the shelter.
c. Assessing the client's weight; determine foods and amounts eaten.
d. Arranging hospitalization for the client in order to formulate a new treatment plan. - ✔✔ correct
answer c. Assessing the client's weight; determine foods and amounts eaten.
A nurse surveying medical records would find evidence suggesting which client's rights have been
violated?
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member. - ✔✔ correct
answer a. A client was not allowed to have visitors.
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
In-client hospitalization for persons with mental illness is generally reserved for clients who
demonstrate which characteristic?
a. present a clear danger to self or others.
b. are noncompliant with medication at home.
c. have limited support systems in the community.
d. develop new symptoms during the course of an illness. - ✔✔ correct answer a. present a clear
danger to self or others.
A client was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning
discharge, the case manager learned that the client received a notice of eviction immediately prior to
admission. What is the case manager's most appropriate action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss th situation.
c. Arrange a temporary place for the client to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was genuine because the client had nowhere
to live. - ✔✔ correct answer c. Arrange a temporary place for the client to stay until new housing can
be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ✔✔ correct answer a. Helping
a person diagnosed with a serious mental illness learn to manage money
A client diagnosed with schizophrenia had an exacerbation related to medication nonadherence and
was hospitalized for 5 days. The client's thoughts are now more organized, and discharge is planned.
The client's family says, "It's too soon for discharge. We will just go through all this again." What
action should the nurse take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the unit.
c. explain that the client will continue to improve if the medication is taken regularly.
d. contact the health care provider to meet with the family and explain the discharge
rationale. - ✔✔ correct answer c. explain that the client will continue to improve if the medication is
taken regularly.
, Varcarolis TEST BANK Chapter 4
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is
smoking, and the janitor's closet is locked. What do these observations relate to?
a. coordinating care of clients.
b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies. - ✔✔ correct answer b. management of milieu safety.
The psychiatric unit has one bed available. Which client should be admitted from the emergency
department? The client
a. The client feeling anxiety and a sad mood after separation from a spouse of 10 years.
b. The client who self-inflicted a superficial cut on the forearm after a family argument.
c. The client experiencing dry mouth and tremor related to taking antipsychotic medication.
d. The client who is a new parent and hears voices saying, "Smother your baby." - ✔✔ correct
answer d. The client who is a new parent and hears voices saying, "Smother your baby."
A suspicious, socially isolated client lives alone, eats one meal a day at a local shelter, and spends the
remaining daily food allowance on cigarettes. What is the community psychiatric nurse's best initial
action?
a. Exploring ways to help the client stop smoking.
b. Reporting the situation to the manager of the shelter.
c. Assessing the client's weight; determine foods and amounts eaten.
d. Arranging hospitalization for the client in order to formulate a new treatment plan. - ✔✔ correct
answer c. Assessing the client's weight; determine foods and amounts eaten.
A nurse surveying medical records would find evidence suggesting which client's rights have been
violated?
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member. - ✔✔ correct
answer a. A client was not allowed to have visitors.
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
